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Live Webcast

CDT Dental Coding & Reimbursement Update: Identifying Common Practice Mistakes

Paul Bornstein
Full Day
Audio and Video
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Live Webcast


Without a thorough understanding of insurance reimbursement, today’s dental office is at a serious disadvantage. In this economy, dental professionals need to ensure that they are getting reimbursed as adequately as they can.

Insurance companies use various tactics and strategies that, unless understood, will cause unnecessary delays and rejections during claims processing. Each office has unique insurance problems. All offices have common insurance problems.

We will teach you how to be aware of the potential problems and offer possible solutions!

Why this Program is Unique

  • Get your practice up to speed with an experienced dentist who ran a dental insurance company and practiced for 30 years.
  • You will be given a consultant’s perspective on records and billing, so you can do your own audits, increase your income, and decrease your risk.
  • You will obtain helpful, realistic, and practical risk management and practice management tips.
  • You will be given the information you need to file claims correctly and challenge denials with appropriate documentation and narrative.
  • You will understand how insurance companies evaluate your claims.

Most Offices Can Immediately Increase Income with the Information in this Live Webcast

  • Overcome a down economy with LEGAL ways to maximize billing.
  • Implement proven strategies to improve patient collections.
  • Bill properly for general practice, periodontal, and oral surgery services.
  • Help prevent rejections.
  • Identify what insurance companies look for other than fraud.
  • Assess the claims process from the insurance company’s perspective.
  • Examine the pros and cons of accepting Medicaid.
  • Analyze dental contract language and determine how to best educate the entire dental practice, including the staff, doctor, and patients.
  • Formulate the best narratives and documentation.



NOTE: Tuition includes one free CE Certificate (participant will be able to print the certificate of completion after completing and passing the on-line post-test evaluation). 

Continuing Education Information: Listed below are the continuing education credit(s) currently available for this live interactive webcast. This webcast is a broadcast of a live event. You will be able to type questions to the speaker. The speaker will see the questions and address them during the presentation as time allows. Please note, your state licensing board dictates whether web based activities are an acceptable form of continuing education. Please refer to your state rules and regulations. If your profession is not listed, please contact your licensing board to determine your continuing education requirements and check for reciprocal approval. For other credit inquiries not specified below, please contact or 800-844-8260 before the event.

Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of your profession.  As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your profession's standards.

The planning committee and staff who controlled the content of this activity have no relevant financial relationships to disclose. For speaker disclosures, please see speaker bios.

CE Information is based on 100% attendance.

Dental Hygienists

PESI, Inc. is designated as a nationally approved sponsor by the Academy of General Dentistry, which is recognized by many state dental or hygienist boards. Please check your state rules and regulations to determine if this course meets your state criteria. This activity consists of 6.0 clock hours of continuing education instruction.

PESI, Inc. is a Nationally Approved PACE Program Provider for FAGD/MAGD credit. Approval does not imply acceptance by any regulatory authority or AGD endorsement.
10/1/2015 to 9/30/2021
Provider ID# 217543


This activity is offered for 6.0 credit hours.

Other Professions

This activity qualifies for 380 continuing education minutes as required by many national, state and local licensing boards and professional organizations. Save your activity advertisement and certificate of completion, and contact your own board or organization for specific requirements. 



Paul Bornstein Related seminars and products:


Paul Bornstein, DMD, has reviewed thousands of claims, helped draft contracts, and developed fraud detection guidelines as chief dental consultant for a national insurance company.  In addition, Dr. Bornstein has over 30 years of dental practice experience.  He served as an instructor and assistant professor for Tufts School of Dental Medicine and as a member of the diagnostic department for the Harvard School of Dental Medicine.  

Dr. Bornstein has acted as an expert for the defense in multiple fraud cases at both the state and federal levels. He has lectured in 47 states including the Yankee Dental Conference, the Greater New York Meeting, and the Big Apple Dental Meeting on dental insurance, fraud, and HIPAA. Dr. Bornstein is a published author with articles in Dental Economics and Dental Practice Report and in recent years he has been a contributor for the ADA publication Coding Companion.  He is a member of the American Dental Association and the American Association of Dental Consultants.  

Dr. Bornstein’s seminar is based on his unique experience of being on both sides of the claim form.  Participants can expect to receive the most current and accurate information available on optimizing insurance reimbursement.

Speaker Disclosures:

Financial: Paul Bornstein is the owner of Dental Office Consultants. He receives a speaking honorarium from PESI, Inc.

Non-financial: Paul Bornstein is a member of the American Dental Association; and the American Association of Dental Consultants.

Additional Info

Program Information


Click here to purchase the DVD or CD recording from our product store. CE hours and approvals on products may differ from live CE approvals.

Access Period for Live Webcast

For live CE credit, you must watch the live webcast in its entirety at its scheduled time and complete the CE quiz and evaluation within one week. You will have access for 90 days after the program for review.

Webcast Schedule

Please note: There will be a lunch and two 15-minute breaks; one in the morning and one in the afternoon. Lunch and break times will be announced by the speaker and at their discretion. A more detailed schedule is available upon request.


  1. Identify what you need to be aware of to maximize billing.
  2. Examine the intricacies of the dental insurance world.
  3. Discuss how your office is being watched and how to avoid billing fraud.


The Dental Contract
  • Insurance carrier rights
  • Trends in today’s contracts
    • Changes in benefit frequency
    • Oral-systemic disease link
    • Avoiding dental fraud
    • PPO participation
Practice Management
  • Fees
  • Patient communication and managing the patient
  • What consultants look for – common practice mistakes
  • The importance of self-auditing records
  • Risk management tips
Avoid Dental Fraud
  • Avoiding “red flags”
  • Suspicious claims
  • Fee discounts
  • Over-utilization
  • Accepting Medicaid: Should you/shouldn’t you?
  • Examples of legal action
The Complete Claim Form
  • How to look at claims like a claims reviewer
  • Correct X-ray, photograph, and narrative submission
Insurance Strategies
  • Learn how the insurance company thinks
  • Learn to correctly resubmit claims for appeal
  • The truth about insurance company stall tactics – Are they real?
  • Effect of the HIPAA laws on coding
  • Effective communication skills
  • Discover how to use the EOB to your advantage
Effective Coding and Billing
  • Tips you can use to keep your practice afloat in a down economy
  • Identify the biggest loss of income for your office and how to correct it
  • CDT – the latest additions and revisions
  • Documentation needed to support claims
  • Correct use and maximization of codes
  • Electronic claim filing
  • Outside financing – Which lender should your practice recommend?
  • The correct claim attachments and narratives – What needs to be included?
  • Important tips to ensure a complete claim – the first time you submit it
Special Areas of Attention
  • Learn to bill periodontal services correctly including the new D4346
  • Fraud: Prevent fraud from occurring in your billing

Target Audience

  • Dentists & Practice Owners
  • Front Office Personnel
  • Office Managers
  • Schedulers
  • Treatment Coordinators
  • Insurance Billing and Collection Personnel
  • Dental Hygienists
  • Dental Assistants



Overall:      4.6

Total Reviews: 70


Erica U

"Completely enjoyed this seminar!"

Katie M

"Great Presenter, I learned alot"

Satisfaction Guarantee
Your satisfaction is our goal and our guarantee. Concerns should be addressed to: PO Box 1000, Eau Claire, WI 54702-1000 or call 1-800-844-8260.

ADA Needs

We would be happy to accommodate your ADA needs; please call our Customer Service Department for more information at 1-800-844-8260.

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